Another reason for the Republicans’ muddled state is that once you take health care at least partially out of the market, as is the case in every advanced economy, you’ve set off on a path that has a fairly predictable set of branches or decision points posing questions like the voices from the void to the deity in my allegory.

Concerned House and Senate aides have reached out to Mr. Stevenson’s group in recent weeks, he said, to request meetings and detailed information about enrollment trends here and how various Republican proposals, like high-risk pools for people with pre-existing medical conditions, would work.

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